Payment Reimbursement and Managed Care

Not Just Smarter Payment, Better Health Care

Jeb Dunkelberger describes how Highmark Health uses its experience as an integrated care delivery and finance system to advance strategies that improve the value of health care.

Jeb Dunkelberger November 26, 2018

Understanding 5 Negotiation Styles

Understanding the five types of negotiating styles allows contracting staff to produce positive results during health plan discussions.

HFMA November 26, 2018

Solid Negotiation Skills Have an Impact on Health Plan Terms

Using human factors—knowledge, attitude, authority, objectivity, and negotiation skills—can help hospital contracting staff develop favorable terms with health plans.

Lauree E. Handlon November 26, 2018

Ask the Experts: Data for Health Plan Negotiations

What data do I need to arm myself with when going to the negotiation table with health plans?

HFMA November 26, 2018

What Healthcare Policies Will the Election Produce?

Nov. 9—A divided Congress may be a recipe for overall gridlock, but some healthcare policy watchers see hope for action in certain areas.

Rich Daly November 12, 2018

Nov. 12-16: ‘Mandatory Models Are Going to See a Comeback,’ Azar Says

Nov. 8—As payers prepare to gather for value-based payment discussions in Washington, D.C., next week, the administration’s healthcare leader warned the sector to prepare for mandatory models.

Rich Daly November 8, 2018

Why the Election Results Matter For 340B Hospitals

Ted Slafsky provides an insider’s perspective on where the 340B drug discount program is headed after the consequential midterm elections. 

Ted Slafsky November 8, 2018

Medicaid, Drug Prices Could See Big Election Impacts

Nov. 7—On Tuesday, voters in three states approved expanding Medicaid eligibility to a total of more than 300,000 people.

Rich Daly November 8, 2018

FY 2019 IPPS/LTCH Final Rule

This document summarizes key provisions of the FY 2019 IPPS/LTCH final rule, published by CMS.

HFMA November 7, 2018

Hospitals Hit By 340B and Site-Neutral Medicare Cuts in New Rule

Nov. 5—Medicare pay cuts included in a new payment rule will affect the federal discount drug program and off-campus provider-based departments (PBDs).

Rich Daly November 6, 2018
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